Randomized Phase III Trial of Docetaxel Versus Vinorelbine or Ifosfamide in Patients With Advanced Non–Small-Cell Lung Cancer Previously Treated With Platinum-Containing Chemotherapy Regimens
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- Frank V. Fossella
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Russell DeVore
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Ronald N. Kerr
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Jeffrey Crawford
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Ronald R. Natale
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Frank Dunphy
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Leonard Kalman
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Vincent Miller
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Jin Soo Lee
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Melvin Moore
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- David Gandara
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Daniel Karp
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Everett Vokes
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Mark Kris
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Yong Kim
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Francis Gamza
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
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- Luz Hammershaimb
- From the TAX 320 Non–Small-Cell Lung Cancer Study Group. See Appendix for complete list of affiliations.
説明
<jats:p> PURPOSE: To confirm the promising phase II results of docetaxel monotherapy, this phase III trial was conducted of chemotherapy for patients with advanced non–small-cell lung cancer (NSCLC) who had previously failed platinum-containing chemotherapy. </jats:p><jats:p> PATIENTS AND METHODS: A total of 373 patients were randomized to receive either docetaxel 100 mg/m<jats:sup>2</jats:sup> (D100) or 75 mg/m<jats:sup>2</jats:sup> (D75) versus a control regimen of vinorelbine or ifosfamide (V/I). The three treatment groups were well-balanced for key patient characteristics. </jats:p><jats:p> RESULTS: Overall response rates were 10.8% with D100 and 6.7% with D75, each significantly higher than the 0.8% response with V/I (P = .001 and P = .036, respectively). Patients who received docetaxel had a longer time to progression (P = .046, by log-rank test) and a greater progression-free survival at 26 weeks (P = .005, by χ<jats:sup>2</jats:sup> test). Although overall survival was not significantly different between the three groups, the 1-year survival was significantly greater with D75 than with the control treatment (32% v 19%; P = .025, by χ<jats:sup>2</jats:sup> test). Prior exposure to paclitaxel did not decrease the likelihood of response to docetaxel, nor did it impact survival. There was a trend toward greater efficacy in patients whose disease was platinum-resistant rather than platinum-refractory and in patients with performance status of 0 or 1 versus 2. Toxicity was greatest with D100, but the D75 arm was well-tolerated. </jats:p><jats:p> CONCLUSION: This first randomized trial in this setting demonstrates that D75 every 3 weeks can offer clinically meaningful benefit to patients with advanced NSCLC whose disease has relapsed or progressed after platinum-based chemotherapy. </jats:p>
収録刊行物
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- Journal of Clinical Oncology
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Journal of Clinical Oncology 18 (12), 2354-2362, 2000-06-12
American Society of Clinical Oncology (ASCO)
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詳細情報 詳細情報について
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- CRID
- 1363951796247501440
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- ISSN
- 15277755
- 0732183X
- http://id.crossref.org/issn/0732183X
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- データソース種別
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- Crossref